Primary care doctor did standard questions: date, president, count backwards, etc. Plus draw a clock, place hands at specified time, etc. Medications were prescribed based on these tests alone.

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yes.. usually a neuro can determine
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I would also see a specialist, such as a behavioral neurologist or a geriatric psychiatrist. I would check first, though, to determine that they have an interest in and experience with dementia.

The primary care doctor probably can conclude dementia is present. What kind of dementia? What stage? A specialist can fine-tune the diagnosis and that can be very important for the treatment.

Also I'm concerned that the PCP prescribed "mediciations" -- more than one? The specialist we see at Mayo Clinic is adamant that only one drug be added at a time, with sufficient time to see the reaction, adjust the dose, maybe even replace it with a different drug, etc. Only when one drug is well established do you move on to another drug.

Many people think there isn't much you can do about dementia, so why bother with a specialist. I think if there is anything at all that can be done, it should be tried. And a specialist is usually in the best position to know what to try.
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